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Arkansas rates for HCPCS Q5103

Injection, infliximab-dyyb, biosimilar, (Inflectra), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.31 / $749.34 / $15,125.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.09 / $31.39 / $37.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.58 / $46.58 / $46.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.97 / $46.58 / $46.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.64 / $19.98 / $42.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.98 / $19.98 / $19.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.09 / $40.09 / $96.52